The Digital Patient Intake Form

Streamline patient intake and eliminate bottlenecks to patient care

With the digital Patient Intake form, patients can enter their personal information, medical history, and symptoms, from any location.

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Collect patient intake data ahead of appointments

Allow patients to access patient registration documents ahead of their appointment by posting Public Form links to Patient Intake forms on your website, in confirmation emails, and more.
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Accelerate patient intake

Digital Patient Intake forms allow for the rapid collection, review, and processing of medical history data – accelerating patient intake and reducing administrative demands.

Simplify processing and record-keeping

Submitted Patient Intake forms can be instantly routed to administrators, immediately accessed for processing, and automatically uploaded to connected systems.

Want to use this form?

To have the Patient Intake Form template added to your account please contact GoFormz Support

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Capture patient signatures electronically

Ensure patients have signed important Patient Intake documents with electronic Signature capture and Required fields.
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The GoFormz HIPAA-Secure Edition

With the GoFormz HIPAA-Secure edition, medical history forms can be securely completed from anywhere.
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Healthcare + GoFormz Success Stories

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